Individual
MISS CHANDRA ALEXIS AGUILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3051 WATSON BLVD STE 525, WARNER ROBINS, GA 31093-8556
(478) 217-7767
Mailing address
301 S CORDER RD APT 312, WARNER ROBINS, GA 31088-5728
(478) 957-2641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN240726
GA
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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